RT Journal
A1 LONGMIRE WP, Jr., SANFORD MC
T1 STimulation of mandibular growth in congenital micrognathia by traction
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1949
FD November 1
VO 78
IS 5
SP 750
OP 754
DO 10.1001/archpedi.1949.02030050767012
UL http://dx.doi.org/10.1001/archpedi.1949.02030050767012
AB DOUGLAS1 presented a method of overcoming the obstructive dyspnea associated with congenital micrognathia by suture of the anterior portion of the tongue to the inner surface of the lower lip, thus bringing the base of the tongue forward out of the hypopharynx and interrupting, its ball-valve action during inspiration.Five of the 6 patients described by Douglas were fed after operation by bottle with the use of the Davis-Dunn2 maxillary guard attachment to stimulate the development of the mandible. The subsequent growth of the lower jaw was apparently satisfactory in the 2 patients on whom follow-up reports were given.It is the purpose of this communication to present a method of prolonged gentle traction which was successfully used to stimulate the development of the mandible in a case of severe congenital micrognathia. In this case the obstructive dyspnea had been relieved by the procedure described by Douglas but